Medicine Management Flashcards

1
Q

A nurse is caring for a child who is 14 kg in weight and is prescribed 20 mg/kg of Paracetamol. The available syrup contains 120 mg/ 5 mL syrup. How many mL does the nurse need to give?

a) 13 ml

b) 10 mL

c) 11.6 mL

d) 14 mL

A

c) 11.6 mL

20/120 x 5
= 0.83

0.83 x 14kg
=11.62
=11.6 mL

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2
Q

Atropine is found in the deadly nightshade plant. It is used as an anticholinergic drug that acts by blocking muscarinic acetylcholine receptors. One of its actions is …

a) sweating

b) bradycardia

c) dilated pupils

d) salivation

A

a) sweating

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3
Q

A patient has been prescribed 10,000 units of Heparin. The nurse has Heparin 25,000 units/mL. How much does the nurse administer?

a) 0.04 mL

b) 0.4 mL

c) 2.5 mL

d) 4 mL

A

b) 0.4 mL

10,000/25,000
=0.4

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4
Q

A client has been prescribed Diazepam. Diazepam has which of the following effects?

a) Inhibits the reuptake of serotonin

b) Increases the activity of gamma aminobutyric acid (GABA)

c) Increases the reuptake of serotonin

d) Decreases the activity of gamma aminobutyric acid (GABA)

A

b) Increases the activity of gamma aminobutyric acid (GABA)

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5
Q

Gentamycin 300 mg is prescribed. The vial contains 80 mg/2 mL. How much should the nurse administer?

a) 7 mL

b) 8 mL

c) 7.5 mL

d) 8.5 mL

A

c) 7.5 mL

300/80 x 2
=7.5

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6
Q

A nurse is caring for a child who is 14 kg in weight and is prescribed 20 mg/kg of Paracetamol. The ward stock is 250 mg/5 mL syrup how many mL does the nurse give?

a) 5.6 mL

b) 6.5 mL

c) 5 mL

d) 8 mL

A

a) 5.6 mL

20/250 x 5= 0.4
0.4 x 14
=5.6 mL

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7
Q

A patient is prescribed 250 mL red blood cells over 1 hour. The nurse is using a 20 drop/mL giving set. How many drops/min are required?

a) 83

b) 35

c) 25

d) 85

A

a) 83

250/1 x 20/60
=83 drops/min

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8
Q

The mode of action of aspirin is …

a) Antipyretic

b) Phosphodiesterase inhibitor

c) Analgesic

c) COX inhibitor

A

c) COX inhibitor

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9
Q

A patient is prescribed the following IV regime: 1 L sodium chloride over 8 hours via a 60 drop/mL giving set. How many mL per hour do you give?

a) 90 mL/hr

b) 250 mL/hr

c) 100 mL/hr

d) 125 mL/hr

A

d) 125 mL/hr

1L= 1000 mL

1000/8 x 60/60
=125 mL/hr

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10
Q

Your patient is prescribed 1L of normal saline over 10 hours. You are using a 60 drop/mL giving set. What do you set the rate to?

a) 100 dpm

b) 80 dpm

c) 10 dpm

d) 50 dpm

A

a) 100 dpm

1L=1000 mL

1000/10 x 60/60
=100 dpm

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11
Q

A nurse is asked to make up 0.4 mg of Naloxone in 10 mL with saline for titration. What concentration of Naloxone will they have per mL?

a) 0.5

b) 0.004

c) 0.4

d) 0.04

A

0.4/10
=0.04

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12
Q

The charge nurse calls you into the treatment room and hands you a syringe with 1g Flucoxin (flucloxacillin sodium monohydrate) which they had reconstituted in 20 mL water, saying that they need to leave the ward. They ask you to administer the medication for them. You should:

a) tell the charge nurse you will give the injection as soon as you can

b) decline to administer the injection

c) complete the task and sign for the medication

d) tell them to ask another nurse as you are busy

A

b) decline to administer the injection

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13
Q

Which of the following is a CORRECT statement about one of the ways oral hypoglycaemic medications act?

a) They stimulate glycogenolysis

b) They increase insulin resistance in skeletal muscle and adipose cells

c) They assist the facilitated transport of glucose into skeletal muscle cells

d) They stimulate the release of glucagon to reduce blood glucose concentration

A

c) They assist the facilitated transport of glucose into skeletal muscle cells

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14
Q

A client is due to have their prescribed medications at 10:00. When the nurse arrives, the client states that they do not want the medication. The nurse should…

a) leave their medication on the locker to take later

b) notify the physician immediately

c) persuade the patient to take their medication

d) Document their refusal on the medication chart and follow up by 11:00

A

d) Document their refusal on the medication chart and follow up by 11:00

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15
Q

A registered nurse is about to go on their meal break when they are approached by an enrolled nurse they are working with. They tell the registered nurse that they need to draw up subcutaneous heparin. The registered nurse should…

a) ask another RN to supervise the EN

b) ask the EN to draw up the heparin and you will give it

c) supervise the EN drawing up and administering the heparin

d) tell them to look it up in the procedures book and follow what it has to say

A

c) supervise the EN drawing up and administering the heparin

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16
Q

Your patient is prescribed Cefuroxime 325 mg. The vial contains 750 mg of powder which is reconstituted to make a final volume of 6 mL. How much do you administer?

a) 2.6 mL

b) 1.5 mL

c) 3 mL

d) 2.1 mL

A

a) 2.6 mL

325/750 x 6
=2.599
=2.6 mL

17
Q

A client is prescribed an antibiotic to treat cellulitis. Their allergy/adverse reaction status has been recorded as “none known”. When administering the antibiotic, the nurse should …

a) give the medication with food to reduce any adverse effects

b) consult the prescriber to check on the client’s allergy/adverse reaction status

c) review the client’s allergy/adverse reaction status prior to giving the antibiotic

d) give the medication as the allergy/adverse reaction status has been assessed by the prescriber

A

c) review the client’s allergy/adverse reaction status prior to giving the antibiotic

18
Q

You are administering a client’s medication and you notice that the dose has been altered. The new dose has been written over white-out and is clearly legible. What do you do?

a) Get the pharmacist to check the prescription

b) Get the medication second-checked and give it

c) You know it is correct so give the medication

d) Call a doctor and have the dose re-charted

A

d) Call a doctor and have the dose re-charted

19
Q

You have available Digoxin PG 62.5 microgram tablets. Your patient is prescribed 0.125 mg. How many tablets will you administer?

a) 2

b) 3

c) 4

d) 1

A

a) 2

0.125 mg= 125 mcg
125/62.5
=2 tablets

20
Q

Cholinesterase inhibitors are prescribed to slow the progression of dementia. They …

a) increase the amount of acetylcholine in CNS synaptic clefts

b) prevent the release of the neurotransmitter cholinesterase

c) prevent the reuptake of serotonin in CNS synapses

d) inhibit the break-down of noradrenaline in CNS synapses

A

a) increase the amount of acetylcholine in CNS synaptic clefts

21
Q

Barbiturates …

a) mostly end with the suffix “pam”

b) should only be given for up to 2-4 weeks to minimise the risk of addiction

c) are central nervous system stimulants

d) promote the release of dopamine from pre-synaptic neurons in the brain

A

b) should only be given for up to 2-4 weeks to minimise the risk of addiction

22
Q

If an intravenous infusion “tissues”, your first action should be to …

a) stop the infusion

b) explain to the client what is occurring

c) call a doctor

d) tell the client they will need another drip established

A

a) stop the infusion

23
Q

A patient is prescribed the following regime: 500 mL sodium chloride over 2 hours.

You are using a 20 drop/mL giving set. How many drops/minute do you give?

a) 125 dpm

b) 80 dpm

c) 83 dpm

d) 120 dpm

A

c) 83 dpm

500/2 x 20/60
=83 dpm

24
Q

Flucloxacillin 750 mg is prescribed. The vial contains 1 g of powder, which is reconstituted to make up a final volume of 5 mL. How much does the nurse administer?

a) 3.5 mL

b) 7.5 mL

c) 3 mL

d) 3.75 mL

A

d) 3.75 mL

1g= 1000 mg
750/1000 x 5
=3.75 mL

25
Q

Some antipsychotic medications may produce extrapyramidal side-effects. These would be recognised by a nurse as …

a) periods of intense emotion

b) sedation

c) uncoordinated involuntary movements

d) weight gain

A

c) uncoordinated involuntary movements

26
Q

A medical staff-member prescribed 2 units of whole blood for Janet who is 25 years of age. You discover that the consent form for this transfusion has not been signed. Your response to this should be to ask …

a) Janet to sign the consent form

b) the medical staff-member to ensure that consent is obtained

c) Janet’s parents to sign the consent form

d) the unit manager to ensure that consent is obtained

A

a) Janet to sign the consent form

27
Q

A nurse is administering a client’s medication and the label on one of the packets has become blurred and is not easy to read. The nurse should…

a) hand write over the blurred section of the label

b) get the ward receptionist to type you up another label and stick it over the top

c) notify the pharmacist

d) not be concerned as you know what it is anyway

A

c) notify the pharmacist

28
Q

Sympatholytic medications …

a) stimulate adrenergic receptors

b) block the actions of the sympathetic nervous system

c) stimulate GABA receptors in the brain

d) mimic the actions of the somatic nervous system

A

b) block the actions of the sympathetic nervous system

29
Q

You have tablets of Digoxin 250 micrograms. The prescription is for 0.125 mg. How many tablets will you check and administer?

a) 1

b) 2

c) 1/2

d) 4

A

c) 1/2

0.125 mg= 125 mcg
125/250= 0.5
=1/2

30
Q

A nurse believes a medication dose prescribed for a client is incorrect. The action that should be taken is to

a) refuse to give the medication

b) check the medication dosage against the client’s chart

c) give the medication prescribed by the doctor

d) withhold the medication and check the dosage with the doctor

A

d) withhold the medication and check the dosage with the doctor